I-Medicare Inxusa Emisebenzini Ye-Ambulance

Uma uke ukhokhele ukugibela i-ambulensi, uyazi ukuthi akusizi ezishibhile. Izindleko zingaba ngamakhulu kuya ezinkulungwaneni zamaRandi. Ezinye izinkampani zizokhokhela izinkokhelo ezengeziwe zabasebenzi abengeziwe ebhodini (abahlengikazi bokunakekelwa okubucayi, abahlengikazi bokuphefumula, njll), ukusetshenziswa kwemithi yezokwelapha (okungukuthi ama-mask oksijini, amabhandeki, ukugqoka, amaphakethe e-ice, njll) kanye nezinye izinto.

Umbuzo uwukuthi noma ngabe uhlelo lwakho lomshuwalense luzokhokhela izinsizakalo ze-ambulensi uma uludinga. I-Medicare izoba ngezinye izikhathi kuphela. Ngisho nasezimo eziveziwe , i- Medicare Part B izokhokha kuphela amaphesenti angu-80 , ikushiye nezinye.

I-Medicare Coverage for Izimo Eziphuthumayo

Ukuchaza isidingo sezokwelapha yisinyathelo sokuqala. I-ambulensi, emehlweni kaMedare, iboniswa kuphela uma engekho enye indlela ephephile yokuthutha, uhanjiswa ukuze uthole ukunakekelwa okuphethwe yi-Medicare, futhi inkampani ye-ambulensi iyawamukela lesi sabelo.

Esiphuthumayo sezokwelapha, impilo yakho isengozini. I-Medicare izokhokhela izinsizakalo ze-ambulensi esikhungweni sezokwelapha esiseduze esinganikeza izinga elifanele lokunakekelwa. Awukwazi ukukhetha nokukhetha ukuthi iyiphi indawo ofuna ukuyifaka. ¹

Isibonelo, uma ubuhlungu besifuba , kungase kudingeke ube ne-catheterization yomzimba . Uma isibhedlela esiseduzane singanikezeli leyo nsizakalo, i-Medicare izokhokhela i-ambulensi ukukuyisa esibhedlela esiseduze.

Ukwelashwa kwemithi yezinkinga ezingekho eziphuthumayo

Ku-Medicare ukuvumela ukuhanjiswa kwezimo ezingekho eziphuthumayo, izimo ezithile kufanele zihlangabezane. Kumele udinga ukuhamba ukuze uthole ukuhlolwa kwezokwelapha kanye / noma ukwelashwa, uvalelwe embhedeni wakho futhi awukwazi ukuhamba ngezinye izindlela noma udinga ukunakekelwa kwezokwelapha ngesikhathi sokuthutha.

Ukungenawo enye indlela yokuthutha akwanele ku-Medicare ukukhokhela izinsizakalo.

Izibonelo ezivamile kungenzeka uma udinga ukuhamba ukuze uthole i- dialysis noma uma uhlala endaweni yokuhlengikaza enekhono futhi udinga ukwelashwa. Kulezi zimo, kungadingeka ukuthi udokotela udinge ukufakazela ukuthi ukusetshenziswa kwe-ambulensi kunesidingo sempilo.

Indlela Imithi Iqinisa Ngayo Iminsana

Ubugebengu be-Medicare bungase buvame kakhulu kunalokho ongaqaphela. Ucwaningo olwenziwa nguMhloli Jikelele weMnyango WezeMpilo WezeMpilo waseMelika wathola ukuthi amaCenter for Medicare neMediicaid akhokhela imali engaphezu kwezingamaRandi ezingama-30 emisebenzini ye-ambulensi ukuze kutholakale khona imisebenzi ye-Medicare futhi imali eyizigidi eziyizigidi ezingu-17 ezokuthutha ukuya nasezindaweni ezingasetshenziswanga ngaphansi kwenzuzo ye-Medicare. Okubi kunalokho, amaphesenti angu-20 wemikhuba yokukhokha atholakala engafanelekile.

I-Medicare manje ihlola inqubo yokucubungula, eyaziwa njengegunya lokutholwa ngaphambili, ngezinsizakalo ezingekho eziphuthumayo ezinsizakalo ezintathu - eNew Jersey, ePennsylvania naseNingizimu Carolina. Uma usebenzisa i-ambulensi ezintathu, noma kungakapheli izinsuku ezingu-10 noma kanye ngesonto ngaphezu kwamasonto amathathu, i-Medicare kumele ivume ngaphambi kwesine ngaphambi kokuthola isevisi futhi.

Umqondo wukunciphisa ukusetshenziswa ngokweqile noma ukungalungile kwama-ambulensi. Lesi sidingo sokugunyazwa ngaphambi singase sande kuzo zonke izifunda ngo-2017.

Lokho Ongayenza Kokubambisana

Unelungelo lokuzikhulumela wena. Uma uzizwa ukuthi isevisi ye-ambulensi kufanele ifakwe, unelungelo lokufaka isikhalazo.

_Imithombo:

_{Amasevisi we-Medicare neMediicaid Services. Ukwelashwa kwemithi ye-Ambulance. https://www.medicare.gov/Pubs/pdf/11021.pdf. Ibuyekezwe ngoJanuwari 2015.}

_{Amasevisi we-Medicare neMediicaid Services. Ukugunyazwa Ngaphambi Kokuphindaphindiwe Kwe-Ambulance Isithuthi Esingekho Emergency. https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Prior-Authorization-Initiatives/Prior-Authorization-of-Repetitive-Scheduled-Non- I-Emergent-Ambulance-Transport - .html. Ibuyekezwe ngoJanuwari 13, 2016.}

_{Ihhovisi lezeMpilo kanye Nezinsizakalo Zabantu. Izinkokhelo ezingafanelekile kanye nokukhokhwa okubuzwayo kuMithi we-Medicare Part B Ambulance Transports. http://oig.hhs.gov/oei/reports/oei-09-12-00351.pdf. Kushicilelwe ngo-September 2015.}